Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device

Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated...

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Veröffentlicht in:Applied ergonomics 2017-04, Vol.60, p.22-29
Hauptverfasser: Weiner, Chava, Kalichman, Leonid, Ribak, Joseph, Alperovitch-Najenson, Deborah
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creator Weiner, Chava
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Alperovitch-Najenson, Deborah
description Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed] using a regular sheet, a sliding sheet and a carrier. The lowest rates of perceived exertion were found when the sliding sheet and/or carrier were used, for all tasks (p ≤ 0.009). According to the predicted risk for Low Back Disorder (LBD) based on the LMM inputs, negligible differences between assistive devices were found. In a 75 kg mannequin, the participants were able to perform all tasks only by using a sliding sheet. Utilizing sliding sheets is an advantageous technique in comparison to traditional cotton sheets and even carriers. •A sliding sheet is preferable over a regular cotton sheet and a carrier.•In mannequins weighing 75 kg, only sliding sheet made the repositioning possible.•Methods used by Nurses have a significant effect on the musculoskeletal load.
doi_str_mv 10.1016/j.apergo.2016.10.007
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source MEDLINE; ScienceDirect Freedom Collection (Elsevier)
subjects Bedding and Linens
Biomechanical Phenomena
Decision Making
Ergonomics
Female
Humans
Low back disorder risk model
Lumbosacral Region - physiology
Movement
Moving and Lifting Patients - instrumentation
Musculoskeletal System - injuries
Nursing
Nursing Staff, Hospital
Occupational Health
Occupational Injuries - prevention & control
Physical Exertion - physiology
Repositioning
Sliding sheets
Task Performance and Analysis
Weight-Bearing
Work related musculoskeletal disorders
title Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device
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